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Maine rates for HCPCS V2108

Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $30.86 / $47.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.51 / $126.51 / $126.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $71.72 / $71.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $25.82 / $25.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.86 / $43.86 / $43.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.82 / $30.86 / $47.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $26.83 / $61.71